My friend explained (over many arguments over many months) he simply does not want to pay for anyone's healthcare. He goes to work, and pays his own. He expects others will go to work, and pay their own. End of story. It's that simple for him.
He doesn't even care if paying a little more tax would result in better healthcare for him. He'd rather have shittier healthcare himself than accept paying even a tiny bit for another persons healthcare.
It's completely unacceptable to him that he should have to go to work more (i.e. pay more taxes) to fund someone's healthcare.
I get it. He doesn't care about a "we" society where we all look out for each other and share the wealth and do well, he wants a "me" society, where me does well.
NOTE: Not my views, don't shoot the messenger.
Setting aside the ethics, this attitude doesn't even make sense on its own because very few people actually pay for their own healthcare costs in the U.S., they use insurance through their work, and that is all subsidized by the government anyways because unlike other compensation you get it has a tax break instead of being taxed as your other income.
IMO, it's just a complete takeover of the legislature on this issue by insurance lobbyists and certain sectors of healthcare, but they managed to get the original laws written so that any change looks like some kind of benefit, even though it's already being subsidized, it's just the businesses and insurance companies that get the subsidy and not the tax payer.
The major difference is that his pool is controlled by a company with shareholders who expect to leech off a certain amount of money every month. On the other hand, the government is forcing us to hand money to a private corporation with shareholders that expect to leech off a small amount every month, but the corporation has no say in who gets in the pool.
Single-payer. It's time, dammit.
I live in the South and there's so many people that are so ingrained in the belief that they don't want to pay for other people, that they forget that they could easily lose everything and need a crutch to get back on their feet.
Some insurance companies require employers to sign up a certain percentage of their employees to get the rates they have. Bigger companies often have better plans simply because more people are paying into the system as well. In addition to paying for other folks' care through insurance, he's also paying a premium for his care in part to pay for other people.
In addition, he'd actually work less. If you turned the rates folks pay for health care into a tax, it would make the tax rate fairly high - I dont have numbers, but I'm going to guess it would put it over and above what average tax rates in single-payer nations pay. He'd only really be "paying for himself" in either case. Not to mention the ridiculous out of pocket amounts. 2000-5000 a year deductible is nearly like not having insurance if you are making a low wage because that is a significant portion of your yearly salary.
And the sad portion of all this is that for many folks with such idealism, even showing how it would work on paper isn't enough to change their minds - mostly because it isn't an issue of even what is best for self. It is (sometimes nearly religious) support for an idealism they don't want to give up.
I think that those who work for the government are not participating in captialism, but I have met many who like to complain about those who participate in socialism, and criticize those engaged in capitalism.
It must be nice to be able to say these things while looking forward to a taxpayer funded annuity retirement and planning to enroll in Medicare, even hiring a consultant to maximize the benefits.
Technically he would go to work less (pay less taxes) under a single payer system.
The people that campaigned for and ultimately defeated the Medicaid expansion in many states should have to spend the rest of their lives without health insurance or proper health care. They are the ones who should be slowly dying and watching as existing cures pass them on by. They are the ones who deserve to suffer for their hate and cruelty.